| NPI | 1487619623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: MI 5101014415) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101014415) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2024-03-01 |