| NPI | 1265828107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 305487) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 305487) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2021-01-13 |