| NPI | 1093155970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 73214) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 73214) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-04-08 |