| NPI | 1609119577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 62735) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T7758) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 62735) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2022-09-29 |