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 |