| NPI | 1629184635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA 11594R) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD-050174-L) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |