| NPI | 1992167159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2023034682) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: LA 333710) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2024-04-25 |