| NPI | 1083001283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TN 61498) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 209856) |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2022-09-16 |