| NPI | 1689725764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: NV 8677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 8677) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2022-10-13 |