| NPI | 1952652992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: ND 14790) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 56990) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: ND 14790) | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2022-04-29 |