| NPI | 1154718617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 11208057-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 11208057-1205) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2021-11-20 |