| NPI | 1053622605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NJ 25MB08748700) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ MB08748700) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2013-03-06 |