| NPI | 1689017360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: TN 0000060018) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: KY 50002) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2023-02-22 |