| NPI | 1780846337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25ma09201300) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT192889) |
| 207L00000X Anesthesiology (Licence: PA MD445223) | |
| 207L00000X Anesthesiology (Licence: NY 270186) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2020-08-27 |