| NPI | 1609897263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081H0002X (Licence: NY 161101) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 161101) |
| 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: NY 161101) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-11-18 |