| NPI | 1609289776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 296684) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA L-259360) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2021-02-02 |