| NPI | 1184848210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: PR 16661) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PR 16661) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-02-03 |