| NPI | 1629055611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D57937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD33231) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D57937) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: DC MD33231) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2009-03-18 |