| NPI | 1811308794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: TX S1138) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S1138) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2022-03-31 |