| NPI | 1093970766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 43833) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 003161) |
| 207L00000X Anesthesiology (Licence: WI 100498) | |
| 207L00000X Anesthesiology (Licence: CA C169056) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 003161) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2023-08-24 |