| NPI | 1023285129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: VA 0101242958) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101242958) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101242958) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2020-10-08 |