NPI | 1013414713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX U6001) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 65160) |
207L00000X Anesthesiology (Licence: AZ 65160) | |
Enumeration Date | 2018-04-09 |
Last Update Date | 2024-01-29 |