| NPI | 1811376007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX T5604) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX T5604) |
| 207L00000X Anesthesiology (Licence: MS 27314) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2023-08-10 |