| NPI | 1578812608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: NJ 25MA10651300) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA10651300) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA10651300) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2024-05-24 |