| NPI | 1245247592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 39413) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 39413) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 39413) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 39413) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-12-30 |