| NPI | 1598748923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 50275) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A96586) |
| 207L00000X Anesthesiology (Licence: CT 040282) | |
| 207LP2900X Anesthesiology Pain Medicine (Licence: AZ 50275) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: AZ 50275) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: AZ 50275) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2018-03-17 |