| NPI | 1215137500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: KY 51656) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD446484) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-08-05 |