| NPI | 1659412591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX Q0682) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD435554) |
| 208VP0000X (Licence: KY 47813) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD435554) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2022-10-12 |