| NPI | 1730308065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MO 2011034021) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2011034021) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-19 |