| NPI | 1144483751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: VA 0102202979) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: VA 0102202979) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2024-10-03 |