| NPI | 1679816508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101266695) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 287112-1) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2024-12-10 |