| NPI | 1629038781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H8576) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: TX H8576) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2024-07-15 |