NPI | 1134167711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX L9987) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX L9987) |
207L00000X Anesthesiology (Licence: IA MD-54359) | |
Enumeration Date | 2006-06-03 |
Last Update Date | 2025-07-23 |