| NPI | 1154785095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA OS021561) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101025528) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2023-10-12 |