| NPI | 1922360940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD00029678) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00029678) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2016-07-21 |