| NPI | 1356467831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NV 15784) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NV 15784) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2024-04-18 |