| NPI | 1679708077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2012-02319) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 42619) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2018-03-27 |