| NPI | 1871806240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 318959) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH EL03581) |
| 207R00000X Internal Medicine (Licence: NY 318959) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2023-07-22 |