| NPI | 1679610364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 57741) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR40692) |
| 207LA0401X Anesthesiology Addiction Medicine (Licence: CO DR40692) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2018-10-04 |