| NPI | 1629045695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 174108) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY AN174108) |
| 207L00000X Anesthesiology (Licence: NY 174108) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2008-04-06 |