NPI | 1932499423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX q4173) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA11651800) |
207LP2900X Anesthesiology, Pain Medicine (Licence: NY 319616) | |
Enumeration Date | 2011-04-18 |
Last Update Date | 2025-06-26 |