| NPI | 1508893991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA05581600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 1672361) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-10-25 |