| NPI | 1225217409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OR DO15593) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: OR DO15593) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2015-09-03 |