| NPI | 1831543073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD471373) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: PA MD471373) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2022-03-26 |