| NPI | 1548422272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MI 5101017716) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101017716) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2021-05-04 |