| NPI | 1235114190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101251907) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 200001100) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 200001100) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2024-11-18 |