| NPI | 1184854838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 270260) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2014021714) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 270260) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2023-02-01 |