NPI | 1700290574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2019005956) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 30622) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MO 2019005956) | |
Enumeration Date | 2014-06-19 |
Last Update Date | 2022-06-16 |