| NPI | 1306899703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD059188L) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 07666900) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-12-03 |