| NPI | 1225298466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 64251) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: WA MD60284902) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2024-03-21 |