| NPI | 1356509897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: UT 9777824-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 16501) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NH 16501) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NH 16501) | |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2021-01-28 |