| NPI | 1821484213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD471881) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 25MA11723900) |
| 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA11723900) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2025-01-07 |