| NPI | 1861888737 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA10595500) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D91071) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-08 | 
| Last Update Date | 2024-03-09 |