NPI | 1982022018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA1050330) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NJ 25MA1050330) |
Enumeration Date | 2014-04-05 |
Last Update Date | 2019-07-30 |