| NPI | 1710475199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A182101) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD492922) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A182101) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MT 168577) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD492922) | |
| 207L00000X Anesthesiology (Licence: MT 168577) | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2026-02-17 |