| NPI | 1831626969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2024-00750) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125071747) |
| 208VP0000X (Licence: NC 2024-00750) | |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2025-08-27 |