| NPI | 1760604698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ 42046) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 42046) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-01-06 |