| NPI | 1417996307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: AK 662) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: AK 662) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-11-29 |