| NPI | 1619323458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 314165-01) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2020-03197) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2022-04-02 |