| NPI | 1366804999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA11203900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 304902) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2023-11-28 |