| NPI | 1588891139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD60499336) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60499336) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2014-12-05 |