| NPI | 1215391800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD475131) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 62696) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A168433) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2021-08-25 |