| NPI | 1033315551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101250011) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 60825) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101250011) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2024-07-25 |