| NPI | 1487032306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX BP10053742) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S2922) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME0145425) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2022-10-12 |