| NPI | 1467807164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 277281) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 277281) |
| Enumeration Date | 2016-05-01 |
| Last Update Date | 2022-04-05 |