| 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) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-12-14 |