| NPI | 1609861087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 223669-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA07386700) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2010-05-11 |