| NPI | 1689022048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 91752) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 11242838-1205) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2024-04-30 |