| NPI | 1598855777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 231121) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: NY 231121) |
| 208VP0000X Pain Medicine Pain Medicine (Licence: NY 231121) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-11-07 |