| NPI | 1679795256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 49763) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD47701) |
| 207L00000X Anesthesiology (Licence: VA 0101248404) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TN 47701) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TN 49763) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-04-04 |