| NPI | 1982967824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 51480) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL34911) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101262583) | |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2018-07-18 |