| NPI | 1912974130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 43697) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 43697) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2019-03-12 |