| NPI | 1750842290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA 337814) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 337814) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-11-01 |