| NPI | 1215140215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 235178) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 222031) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 235178) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MA 235178) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2022-07-21 |