| NPI | 1356324743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 112125-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 112125) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2025-09-09 |