| NPI | 1750467593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 25MA06730100) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ MA06730100) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2015-11-05 |