| NPI | 1548250186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01055115A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01055115A) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2019-11-04 |