| NPI | 1942476619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X (Licence: WI 52775-20) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 52775) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 52775-20) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2015-02-11 |