| NPI | 1215145792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 16028) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 49547) |
| 207L00000X Anesthesiology (Licence: NV 16028) | |
| 207L00000X Anesthesiology (Licence: AZ 43285) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2026-06-18 |