| NPI | 1720276199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 299391) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 011643) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2021-11-30 |