| NPI | 1609070390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 81819) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101260693) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 51075) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2019-01-08 |