| NPI | 1043881113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 685479545) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 7652589) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-09 |