| NPI | 1356309710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101238564) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: VA 0101238564) |
| 207L00000X Anesthesiology (Licence: NC 200401424) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-09-26 |