| NPI | 1457399248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 40418) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00040224) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: WA MD00040224) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2010-10-27 |