| NPI | 1407021363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 207l00000x) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NJ 25MA12075600) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2024-02-12 |