| NPI | 1962859587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 1015686) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101282357) |
| 207L00000X Anesthesiology (Licence: OH 35.139776) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101282357) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.139776) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2026-08-04 |