| NPI | 1336366871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 058635) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 29455) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-11-17 |