| NPI | 1164447835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AL 00023971) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 00023971) |
| 208D00000X General Practice (Licence: AL 00023971) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-12-27 |