| NPI | 1700828282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D42494) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD25614) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2008-02-01 |