| NPI | 1811977135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: AL MD.21703) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 21703) |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: TN 60210) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AL 21703) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2023-12-06 |