| NPI | 1396131975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD61097991) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA FE.60964666) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: WA MD61097991) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA MD61097991) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2023-02-15 |