| NPI | 1679678502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 118777) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 60 240429) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-12-05 |