| NPI | 1760476071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X (Licence: IN 01056802A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01056802) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01056802A) | |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2012-04-05 |