| NPI | 1588749998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 55553) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 04065) |
| 207L00000X Anesthesiology (Licence: GA 055553) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-07-30 |