| NPI | 1700205051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 278026) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 278026) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-02-28 |