| NPI | 1871728949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CT 54474) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 54474) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CT 54474) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2019-07-13 |