| NPI | 1184600926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: ND 8124) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI DOS886) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: ND 8124) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2019-11-15 |