| NPI | 1205102944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD454593) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD454593) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ 25MA09958900) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2020-05-11 |