| NPI | 1164009502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD495462) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0102931) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD495462) | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2026-07-31 |