| NPI | 1376710210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036-128363) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.012428) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2021-03-03 |