| NPI | 1730421165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX T4396) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T4396) |
| 207L00000X Anesthesiology (Licence: WI 69711) | |
| 207L00000X Anesthesiology (Licence: MO 2019032504) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2019032504) | |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2024-02-22 |