| NPI | 1073044996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA11572600) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NY 306413) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2025-04-09 |