| NPI | 1154596955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX R0421) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-53855) |
| 207L00000X Anesthesiology (Licence: WI 53492) | |
| 207L00000X Anesthesiology (Licence: VA 0101249849) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IA MD-53855) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: IA MD-53855) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: WI 53492) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2025-01-07 |