| NPI | 1790002343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09661900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT196581) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT196581) | |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2015-06-16 |