| NPI | 1801545819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL 11016960) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL APRN11016960) |
| 207L00000X Anesthesiology (Licence: FL APRN11016960) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: FL APRN11016960) | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2026-05-08 |