| NPI | 1659490019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 257686) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 257686) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-09-17 |