| NPI | 1922534411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 317628) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 317268) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 317268) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2023-07-22 |