| NPI | 1396971404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD448978) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: PA MD448978) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D0077647) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D77647) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2026-03-25 |