| NPI | 1871571547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX K6105) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX K6105) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2016-04-15 |