| NPI | 1346583820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD61646321) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD61646321) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2025-09-24 |