| NPI | 1811952740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 9401402) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 9401402) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-09-09 |