NPI | 1700157286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09295300) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 263928-1) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: NJ D10216200) | |
Enumeration Date | 2012-01-16 |
Last Update Date | 2025-04-09 |