| NPI | 1457510323 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-49413)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 299779)  | 
| 207L00000X Anesthesiology (Licence: PA MD479015)  | |
| Enumeration Date | 2008-06-05 | 
| Last Update Date | 2023-07-18 |