| NPI | 1245675990 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D90767)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D90767)  | 
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D90767)  | |
| Enumeration Date | 2013-05-08 | 
| Last Update Date | 2021-05-03 |