| NPI | 1518976026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 2017-00989) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A88641) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: SC MMD.37031.MD) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AK 6517) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A88641) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-01-20 |