| NPI | 1770570632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB08503600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 229073) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2025-08-22 |