| NPI | 1154640043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 264139) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CT 69408) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2022-07-21 |