| NPI | 1497135123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA10382400) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ P12-00252) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: PA MT205420) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2018-11-02 |