NPI | 1437913381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14007) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 0010-14007) |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-07-19 |