| NPI | 1730388570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA OP60191642) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA OP60191642) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2012-04-05 |