| NPI | 1215144555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD439792) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101242668) |
| 207L00000X Anesthesiology (Licence: NJ 25MA08856500) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-02-08 |