NPI | 1396161550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 0010-04874) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-04874) |
Enumeration Date | 2014-03-12 |
Last Update Date | 2024-07-19 |