| NPI | 1487672762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 131832-1) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 131832-1) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-06-24 |