| NPI | 1124339684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 44433) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R71977) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2020-09-10 |