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 |