| NPI | 1811931272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI SM061360) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301061360) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-10-11 |