| NPI | 1447678628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL OS17483) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 59716) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MN 59716) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2021-06-29 |