| NPI | 1780078691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 302617) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME138945) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2024-02-15 |