| NPI | 1952672602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NE 1902) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 20a11258) |
| 207L00000X Anesthesiology (Licence: NV DO1720) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2019-01-21 |