| NPI | 1982764734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: CA G79389) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G79389) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-01-24 |