| NPI | 1003054966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 050860) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CT 050860) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2012-08-08 |