| NPI | 1730303777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0065944) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2005-01617) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: KY 52391) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-02-27 |