| NPI | 1447217963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NC 200200833) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: NC 200200833) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2012-09-28 |