| NPI | 1609258953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 311167-01) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 311167-01) |
| 207Q00000X Family Medicine (Licence: VA 0116028374) | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2023-04-13 |