| NPI | 1609863745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA md071002l) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA md071002L) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2013-08-13 |