| NPI | 1639115959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: RI MD12851) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: VT 042-0010288) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: RI 12851) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: RI MD12851) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-02-11 |