| NPI | 1922244516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME115018) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-098884) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 243608) | |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2014-06-11 |