| NPI | 1316207806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 20129) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 20129) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2017-08-29 |