| NPI | 1700833654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 24403) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 035920) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 24403) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2024-01-03 |