| NPI | 1548622301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CT 79958) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: NJ 25MA11138600) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: NY 302738) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-04-18 |