| NPI | 1184101883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 71525) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: AZ 71525) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2025-07-29 |