| NPI | 1801984463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 40443) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 01886R) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 40443) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-07-10 |