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 |