| NPI | 1144335019 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD179744) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60063852) | 
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: OR 179744) | |
| Enumeration Date | 2006-08-20 | 
| Last Update Date | 2022-06-13 |