| NPI | 1114148160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 127269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 36944) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME 91219) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: VT 060-0003414) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-01-13 |