| NPI | 1669570305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY 37146) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 37146) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: KY 37146) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-04-24 |