| NPI | 1629171699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WV 24510) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 24655) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OK 24655) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2021-08-12 |