| NPI | 1740531979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 267258) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA09175400) |
| 207L00000X Anesthesiology (Licence: CT 70505) | |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2022-05-06 |