| NPI | 1164716833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.132236) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125058228) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036.132236) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2025-08-07 |