| NPI | 1699754747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 191029) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA05995500) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2025-08-21 |