NPI | 1255174181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL 11032464) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL 11032464) |
Enumeration Date | 2024-06-18 |
Last Update Date | 2024-06-18 |