| NPI | 1124013511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA AK000297L) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA MD057849L) |
| 207L00000X Anesthesiology (Licence: PA MD057849L) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD057849L) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2019-05-22 |