| NPI | 1164605663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08046800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 238812) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2013-06-18 |