| NPI | 1609018167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08914900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT188243) |
| 207L00000X Anesthesiology (Licence: PA MD441271) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA08914900) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NJ 25MA08914900) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD441271) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2011-10-25 |