| NPI | 1811962087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A54440) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: CA A54440) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2009-02-17 |