| NPI | 1356630099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 4301098839) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301098839) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301098839) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2016-08-10 |