| NPI | 1760890727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB12558200) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 295520) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2025-04-10 |