| NPI | 1386165629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD25011) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 312110) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-08-09 |