| NPI | 1780688150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 14599) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 14599) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2014-07-09 |