| NPI | 1386806743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME116503) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME116503) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2021-01-19 |