| NPI | 1114047453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: KS 04-33747) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: KS 0433747) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2025-03-11 |