| NPI | 1295861284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: PR 15978) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: PR 15978) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-09-20 |