| NPI | 1013414713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U6001) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 65160) |
| 208VP0000X (Licence: AZ 65160) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX U6001) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2025-08-20 |