| NPI | 1023069192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO ME43450) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: CO ME43450) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2014-07-17 |