| NPI | 1154567311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA OS016242) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OT012641) |
| 207L00000X Anesthesiology (Licence: PA OS016242) | |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2017-03-15 |