| NPI | 1508251679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 298899) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA12072600) |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2025-10-01 |