| NPI | 1649478983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD442798) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 227194) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2023-03-07 |