| NPI | 1225081979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301406836) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D39995) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D39995) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-02-10 |