| NPI | 1407142680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 292070) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CT 55176) |
| 207L00000X Anesthesiology (Licence: CT 55176) | |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2018-12-05 |