| NPI | 1548648504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 306882) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA10629000) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2021-06-04 |