| NPI | 1659548899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 2011-00467) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2011-00467) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 2011-00467) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2020-09-04 |