| NPI | 1407045222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 203674) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: LA 200020) |
| 207L00000X Anesthesiology (Licence: NY 298219) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2024-03-07 |