| NPI | 1124678511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX 143100) |
| Additional Taxonomies | 208VP0000X (Licence: TX 143100) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2025-10-07 |