| NPI | 1225395841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 287933) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA10222000) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NJ 25MA10222000) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 287933) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2018-05-16 |