| NPI | 1578575346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 48980) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 102648) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 48980) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MN 48980) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ FR5489477) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-04 |