NPI | 1699137976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA11031500) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA11031500) |
Enumeration Date | 2016-03-24 |
Last Update Date | 2021-12-28 |