| NPI | 1720220734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 87305) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 258096-1) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2025-12-14 |