| NPI | 1164721908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB09726200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013542) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA OT013542) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2016-02-03 |