| NPI | 1457642613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD461779) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA08936200) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2022-07-21 |