NPI | 1497001986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q7680) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL UO3439) |
207R00000X Internal Medicine (Licence: OH 58.004421) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: TX Q7680) | |
Enumeration Date | 2012-08-02 |
Last Update Date | 2022-09-21 |