| NPI | 1497754519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X (Licence: PA MD035037E) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD035037E) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD035037E) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD035037E) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2025-04-21 |