| NPI | 1710947106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CT 042468) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CT 042468) |
| 2084P0301X Psychiatry & Neurology Brain Injury Medicine (Licence: CT 042468) | |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: CT 042468) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2019-12-23 |