| NPI | 1972667467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA08074700) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 250694) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-10-10 |