| NPI | 1699769869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 02561) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 02561) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 02561) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: KY 02561) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2009-09-18 |