| NPI | 1780659896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: VA 0102037200) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0102037200) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2011-10-31 |