| NPI | 1538667068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NM CNP-03493) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NM F01180075) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2024-01-29 |