| NPI | 1194959775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A134243) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 271526) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2020-12-29 |