| NPI | 1699120238 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 170276)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 305662)  | 
| Enumeration Date | 2016-05-02 | 
| Last Update Date | 2021-02-26 |