| NPI | 1982640686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME54880) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 00013978) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2015-03-06 |