| NPI | 1407173271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA TR60122247) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA TR60122247) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2011-05-20 |