| NPI | 1790780062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 213207) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 213207) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2013-09-16 |