| NPI | 1518604214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 199959) |
| Additional Taxonomies | 208VP0000X (Licence: CA 199959) |
| 207R00000X Internal Medicine (Licence: CA 199959) | |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2026-08-27 |