| NPI | 1770603888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: SD 7019) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 23826) |
| 207L00000X Anesthesiology (Licence: SD 7019) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2016-08-03 |