| NPI | 1659493278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2010-00333) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD29957) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2010-00333) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2025-10-08 |