| NPI | 1902011679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA08746800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT183443) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-06-21 |