| NPI | 1881628204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA05301100) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA g88251) |
| 207L00000X Anesthesiology (Licence: PA MD055834L) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-09-05 |