| NPI | 1649451683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: AL 29376) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: AL 29376) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2019-10-17 |