| NPI | 1821198730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2005--0851) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NM MD2005-0851) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-01-08 |