NPI | 1952413015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 47657) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: SD 4824) |
207LP2900X Anesthesiology, Pain Medicine (Licence: KY 47657) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2019-04-04 |