| NPI | 1770501413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME75986) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME75986) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-01-28 |