| NPI | 1114314838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: WI 74039) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 61462) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MN 61462) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2021-01-06 |