| NPI | 1205248069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: TX D3183) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 274244) |
| 207L00000X Anesthesiology (Licence: MD D87627) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2022-05-17 |