| NPI | 1245678416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 299473) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL35712) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2021-08-09 |