NPI | 1659411379 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OR 27824) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: HI 12142) |
208VP0000X Pain Medicine, Pain Medicine (Licence: OR 27824) | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2023-05-09 |