| NPI | 1730314535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 90637) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 252469-1) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2022-01-19 |