| NPI | 1619117694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101288538) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101288538) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR 173868) | |
| 208600000X Surgery (Licence: NY 244288-1) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2026-05-07 |