| NPI | 1669868832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301503935) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A167470) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301503935) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2021-08-30 |