| NPI | 1255536413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 75173) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P0416) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A120902) | |
| 207R00000X Internal Medicine (Licence: SC 30013) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-10-10 |