| NPI | 1861460198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OK 20186) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 20186) |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2007-07-08 |