| NPI | 1790978922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME117623) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA SP186) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: IA SP186) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2015-09-28 |