| NPI | 1144381856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX J0005) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 10787) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX J0005) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-08-07 |