| NPI | 1801241013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101271962) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 279691) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: VA 0101271962) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2022-06-20 |