| NPI | 1689104010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD61529764) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 287671) |
| 207R00000X Internal Medicine (Licence: MA 271306) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MA 287671) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2024-09-26 |