| NPI | 1376540187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME76862) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME76862) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME76862) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-04-11 |