| NPI | 1679526891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 200601829) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A82099) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A82099) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A82099) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-04-06 |