| NPI | 1043666423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX T0525) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 282313) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: TX T0525) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2024-10-19 |