| NPI | 1114018025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NE 24375) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: TX L4585) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2012-10-23 |