| NPI | 1790701712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 199637) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 199637) |
| 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: NY 199637) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-07-06 |