| NPI | 1790722940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: NY 226810) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 226810) |
| 207LA0401X Anesthesiology Addiction Medicine (Licence: NY 226810) | |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: NY 226810) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2011-09-20 |