| NPI | 1962716712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 319213-01) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 319213-01) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2022-09-27 |