| NPI | 1265409890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 102912) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 102912) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 102912) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2012-02-10 |