| NPI | 1679540215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: GA 033521) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 033521) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: GA 033521) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: GA 033521) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2021-04-09 |