| NPI | 1134895188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 10004680A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004680A) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2025-01-09 |