| NPI | 1770101800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: WA MD61548106) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.249478) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2025-07-14 |