| NPI | 1962765180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A147375) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 266053) |
| 207R00000X Internal Medicine (Licence: MA 252000) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2021-12-13 |