| NPI | 1760795702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PR 18554) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 257381-1) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2015-11-23 |