NPI | 1366483034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: VA 0101239973) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101239973) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2021-07-26 |