| NPI | 1184618373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08529200) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 229333-1) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2009-12-05 |