| NPI | 1568811677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 323148) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 63923) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-02-17 |