| NPI | 1154582112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: MI 5101020142) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 5101020142) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2025-05-15 |