| NPI | 1225419294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: DE C1-0013773) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C1-0013773) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: DE C1-0013773) | |
| 208VP0000X (Licence: PA MD471080) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2022-10-28 |