| NPI | 1689930323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101236597) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0062059) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0062059) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101236597) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |