| NPI | 1790122703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB10145400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P28843) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2018-07-13 |