| NPI | 1407275902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301119069) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 314213-01) |
| 207L00000X Anesthesiology (Licence: MA 259821) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301119069) | |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2022-07-20 |