| NPI | 1689108078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: GA 92889) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY R4628) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2022-08-25 |