| NPI | 1508213927 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101263254)  | 
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101263254)  | 
| Enumeration Date | 2016-05-16 | 
| Last Update Date | 2021-12-27 |