| NPI | 1669715371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1013809) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 282250) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 1013809) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2023-02-06 |