| NPI | 1669067641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD-49107) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: OH 35.141122) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2025-03-25 |