| NPI | 1487812665 |
|---|---|
| Former Name | AMY MARIE COSNOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: MI 4301101596) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP1-0031942) |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2013-05-18 |