| NPI | 1376906321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 88627) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S6064) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-01-05 |