| NPI | 1649500299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX Q1896) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MA 24938) |
| 207L00000X Anesthesiology (Licence: MA 24938) | |
| 207L00000X Anesthesiology (Licence: TX Q1896) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: TX Q1896) | |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2022-02-03 |