| NPI | 1780248740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MS 35903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01088378A) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2025-12-15 |