| NPI | 1417421066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL 9111861) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL 9111861) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-10-18 |