| NPI | 1497079438 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ AP3565) | 
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ RN14182) | 
| Enumeration Date | 2010-03-19 | 
| Last Update Date | 2020-10-20 |