| NPI | 1619958790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: GA 037199) |
| Additional Taxonomies | 207LA0401X Anesthesiology Addiction Medicine (Licence: GA 37199) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2019-09-04 |