| NPI | 1154328128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: PA MD065761L) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA 065761L) |
| 208VP0000X (Licence: DE C1-0028775) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2025-12-26 |