| NPI | 1265575260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: TX N4249) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N4249) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: TX N4249) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-05-29 |