| NPI | 1083691802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA C53858) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 01055554A) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2014-01-17 |