| NPI | 1558354969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101242724) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 242259) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2014-08-06 |