| NPI | 1689625410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 33509) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 35868) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 35868) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-07-09 |