| NPI | 1386993202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX P4993) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX P4993) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2024-10-19 |