| NPI | 1144425083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: MO 2009025407) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2009025407) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2009-11-24 |