| NPI | 1962526244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB09793900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 279962) |
| 363A00000X Physician Assistant (Licence: NY 009083) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-12-17 |