| NPI | 1174084222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX W6089) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA 100723) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2026-07-10 |