| NPI | 1679194484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX W1722) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX W1722) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2025-10-22 |