| NPI | 1134329436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CT 044734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 044734) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-02-18 |