| NPI | 1558346106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME87424) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME87424) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME87424) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2017-01-25 |