| NPI | 1588778708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: ID SPHY-9902) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MI 4301088935) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI Pending) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: ID M-9902) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-05-06 |