| NPI | 1811186349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB08975000) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS 014224) |
| 208D00000X General Practice (Licence: PA OS014224) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2016-02-02 |