| NPI | 1568786242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101259660) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 042.0013008) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2022-05-02 |