| NPI | 1720024789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A95514) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: CA A95514) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-01-03 |