| NPI | 1962897272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME168457) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME168457) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WV 29833) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WV 29833) | |
| 207L00000X Anesthesiology (Licence: IL 036157750) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME168457) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2025-04-08 |