| NPI | 1972879989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 61714) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 61714) |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2023-01-09 |