| NPI | 1285888214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WY 9398A) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 7470025-1205-2012010) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2022-11-04 |