| NPI | 1558450759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PR 7565) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 160061) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-02-13 |