| NPI | 1699035600 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 007237) | 
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ 007237) | 
| Enumeration Date | 2012-05-23 | 
| Last Update Date | 2019-11-23 |