NPI | 1255592630 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D78207) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 264836) |
207L00000X Anesthesiology (Licence: MD D78207) | |
Enumeration Date | 2008-06-19 |
Last Update Date | 2014-10-09 |