| NPI | 1336379817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 253492) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 253492) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 253492) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2020-11-02 |