| NPI | 1649371493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: RI MD10820) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: MA 237374) |
| 207L00000X Anesthesiology (Licence: MA 237374) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-06-20 |