| NPI | 1730716531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 329512) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 329512) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-09-03 |