| NPI | 1528056553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX J8842) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J8842) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX J8842) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2018-09-27 |