| NPI | 1649301870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A31680) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A31680) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |