| NPI | 1457320152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD00034218) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00034218) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA MD00034218) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2019-08-27 |