| NPI | 1881765915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: ND 11066) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 47991-020) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2020-02-05 |