| NPI | 1043625726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: PA MD467312) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: DE C1-0013408) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 57.245228) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD467312) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: DE C1-0013408) | |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2021-08-04 |