| NPI | 1275724890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD22682) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 261274) |
| 207L00000X Anesthesiology (Licence: MA 258408) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2019-01-11 |