| NPI | 1255637450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 286588) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 286588-1) |
| 207L00000X Anesthesiology (Licence: IL 036-167572) | |
| 207L00000X Anesthesiology (Licence: MD D85481) | |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2024-12-31 |