| NPI | 1407859473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35076834C) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 35076834) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2024-01-09 |