| NPI | 1306849559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 2001291) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA05812300) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-03-26 |