| NPI | 1457418667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD00020069) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00020069) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-05-18 |