| NPI | 1326783192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL 11017195) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11017195) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2024-11-15 |