| NPI | 1366499543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology Addiction Medicine (Licence: CO DR.0059708) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 44600) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2025-04-08 |