| NPI | 1194138602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 83198) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT207010) |
| 207L00000X Anesthesiology (Licence: GA 83198) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2026-05-28 |