| NPI | 1245438597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MO 2012021214) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2007016653) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 260816) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2007016653) | |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2018-11-01 |