| NPI | 1053339283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 2005-00671) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 200500671) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 200500671) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 200500671) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-02-23 |