| NPI | 1972762482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09319500) |
| Additional Taxonomies | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: NJ 25MA09319500) |
| 207L00000X Anesthesiology (Licence: NY 25MA09319500) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2021-10-26 |