| 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 |