| NPI | 1780623124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA0804900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD425203) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-09-26 |