| NPI | 1083809594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N9727) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX N9727) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2024-06-27 |