| NPI | 1659319911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301049682) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301049682) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-01-10 |