| NPI | 1336655745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TN 23602) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TN 23602) |
| 208D00000X General Practice (Licence: TN 23602) | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |