| NPI | 1770556847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD063864L) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA md063864L) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD063864L) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2008-06-10 |