| NPI | 1720195217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 32953) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 32953) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-04-19 |