| NPI | 1104851377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0046205) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD D0046205) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D0046205) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-03-07 |