| NPI | 1215355714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD197071) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OR MD197071) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TX T5571) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2022-09-06 |