| NPI | 1730477225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 510109153) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101019153) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2018-03-17 |