| NPI | 1871823849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME146609) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q9335) |
| 207L00000X Anesthesiology (Licence: PA MD448573) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2022-08-22 |