| NPI | 1205800125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X (Licence: DE C1-0007516) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: DE C1-0007516) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: DE C1-0007516) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2018-08-29 |