| NPI | 1407007818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OH 35126462) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 251342) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 251342) | |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2022-03-10 |