NPI | 1851369623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX S5119) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 34924) |
207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35086774) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 34924) | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2022-03-09 |