| NPI | 1942864137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1020433) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 1020433) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2025-03-03 |