| NPI | 1043286883 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX J4308) | 
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX J3408) | 
| Enumeration Date | 2006-02-23 | 
| Last Update Date | 2022-03-24 |