| NPI | 1295753580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA10082100) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD072519L) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD072519L) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-08-05 |