| NPI | 1336525872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 71005580A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005580A) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2024-12-03 |