| NPI | 1164487062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME129039) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D54873) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D54873) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D54873) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2016-09-29 |