| NPI | 1144428749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MS 19836) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 19836) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2012-05-21 |