| NPI | 1962460402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 154928) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD060971L) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-05-14 |