| NPI | 1104042068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 34029) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 34029) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: SC 34029) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-04-13 |