| NPI | 1962848945 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WI 67223)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 67223)  | 
| 207L00000X Anesthesiology (Licence: IL 125063522)  | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 67223)  | |
| Enumeration Date | 2013-05-16 | 
| Last Update Date | 2024-10-28 |