| NPI | 1215139480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MT191260) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA09479700) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2024-10-15 |