| NPI | 1285747139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA OP60322795) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: AL DO-454) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: CA 20A7595) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2013-11-21 |