NPI | 1578189841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 71010169A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71010169A) |
Enumeration Date | 2020-06-22 |
Last Update Date | 2024-12-03 |