| NPI | 1194911727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NC 2019-02792) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD437333) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2026-04-28 |