| NPI | 1275915928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 70948-20) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-10331) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 70948-20) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2020-12-23 |