| NPI | 1760418727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 215463) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 215463-1) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-10-06 |