| NPI | 1740277169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB05618600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS008234L) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2019-01-15 |