| NPI | 1639133903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 29110) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: AZ 29110) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2019-04-05 |