| NPI | 1275257081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: WA PA6123490) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: ID PA-2286) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |