| NPI | 1982652749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: SC 0498) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: SC 00498) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-06-03 |