| NPI | 1730208430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A92699) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A92699) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A 92699) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A92699) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-04-10 |