| NPI | 1164861134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA10765900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 61381) |
| 207L00000X Anesthesiology (Licence: MO 2013018606) | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: OR MD182019) | |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2023-04-17 |