| NPI | 1760735534 |
|---|---|
| Former Name | ANDREA CORDOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME138497) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: FL ME138497) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2024-10-10 |