| NPI | 1699094599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: TN 74046) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 269894-1) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2025-08-20 |