| NPI | 1922079698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX L4529) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: TX L4529) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2019-06-10 |