| NPI | 1225698830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME175637) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A187221) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2026-06-09 |