| NPI | 1346684222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01079557A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY 50037) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 50037) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2021-02-28 |