| NPI | 1770729584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX N1401) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N1401) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2021-11-18 |