| NPI | 1457341570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: PA MD060336L) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD-060336-L) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: PA MD-060336-L) | |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2022-07-21 |