| NPI | 1558358770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 202102989) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 078633) |
| 207L00000X Anesthesiology (Licence: PA MT201862) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 266087) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2022-01-03 |