| NPI | 1992018535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME163423) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 053354) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CT 053354) | |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2025-09-23 |