| NPI | 1164442828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101257281) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 200600759) |
| 207L00000X Anesthesiology (Licence: OH 35-098051) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2006-00759) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2017-03-22 |