| NPI | 1346205499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 33954) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2000160873) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IA 33954) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2012-09-11 |