| NPI | 1811126493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036139095) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036139095) |
| Enumeration Date | 2009-07-05 |
| Last Update Date | 2020-03-02 |