| NPI | 1619312642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 292220) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 67135) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2020-12-18 |