NPI | 1356362495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY NYS212706) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 212706) |
207L00000X Anesthesiology (Licence: NY NYS212706) | |
Enumeration Date | 2006-07-22 |
Last Update Date | 2020-02-10 |