| NPI | 1184648198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0043389) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: MD D0043389) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2010-10-15 |