| NPI | 1457353641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 46692) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 38894) |
| 207L00000X Anesthesiology (Licence: WI 46692) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2018-12-18 |