| NPI | 1710947106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| 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 |