| NPI | 1700157286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 50251) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 263928-1) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2019-11-08 |