| NPI | 1750372496 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 154597) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 154597) | 
| Enumeration Date | 2005-11-02 | 
| Last Update Date | 2012-03-20 |