| NPI | 1518967322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 214561) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 214561) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2007-07-08 |