| NPI | 1417180647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 275457-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA11059800) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2021-06-09 |