| NPI | 1447219852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WY 11594A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 22896) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 22896) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2019-01-29 |