| NPI | 1720221955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 29689) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2012-01559) |
| 207L00000X Anesthesiology (Licence: NC 2012-01559) | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2026-07-17 |