| NPI | 1760049837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 328780) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 83456) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2026-04-07 |