| NPI | 1619188505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: GA 059463) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 59463) |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: GA 59463) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-04-12 |