| NPI | 1528200516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD191105) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 271292) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 271292) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2021-03-22 |