| NPI | 1154542355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: ID M-9987) |
| Additional Taxonomies | 2081H0002X (Licence: AL 26376) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-02-14 |