| NPI | 1669623351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 253748) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 253748) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2019-04-18 |