| NPI | 1063832244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD60759341) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA 60475114) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2019-10-02 |