| NPI | 1972745099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 272778-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 272778) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2017-06-28 |