| NPI | 1639170368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 250112) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 38585) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2012-07-03 |