NPI | 1285977827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A173816) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 289211) |
Enumeration Date | 2013-04-02 |
Last Update Date | 2021-12-07 |