| NPI | 1861698011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 253186-1) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 253186) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2023-07-06 |