| NPI | 1568623684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2010-02137) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 50422) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 50422) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: DE C1-0011571) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2021-04-01 |