| NPI | 1124472568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 282446) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: CA A172216) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2021-11-01 |