| NPI | 1780898585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 249970-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MB08527900) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2009-03-05 |