| NPI | 1295239994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS022299) |
| Additional Taxonomies | 208VP0000X (Licence: PA OS022299) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA OS022299) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA OS022299) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2025-06-23 |