| NPI | 1184649303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OR 23890) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: OR 23890) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-08-12 |