| NPI | 1568452589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OR MD184521) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 5124048-1205) |
| 207Q00000X Family Medicine (Licence: VA 0101251137) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2018-09-11 |