| NPI | 1912979337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VT 0420010782) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 234736) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2021-07-01 |