| NPI | 1669468658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 23135) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 23135) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2018-02-22 |