| NPI | 1649231572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 185498) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 185498) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2014-10-10 |