| NPI | 1356754063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 60930) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2014012728) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2023-09-25 |