| NPI | 1255865655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD61051009) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61051009) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2023-01-25 |