| NPI | 1831553460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 306333) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 62619) |
| 207L00000X Anesthesiology (Licence: CT 75134) | |
| 207L00000X Anesthesiology (Licence: NY 306333) | |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2025-05-16 |