| NPI | 1154302917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: MO 113245) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: KS 04-29704) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2021-08-19 |