NPI | 1447455977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME109250) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA FE60217645) |
207L00000X Anesthesiology (Licence: FL ME109250) | |
Enumeration Date | 2007-06-15 |
Last Update Date | 2016-10-12 |