| NPI | 1578683215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 49725) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MN 49725) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MN 49725) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-04 |