| NPI | 1184719114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2015-02375) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2015-02375) |
| 207L00000X Anesthesiology (Licence: IL 036103832) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-07-21 |