| NPI | 1073748729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: NJ 25MA09080900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA09080900) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2024-04-10 |