| NPI | 1982744769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: PA MD438101) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MD D0065523) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD438101) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2022-10-28 |