| NPI | 1811607609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AL 1-155532) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-155532) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2025-04-06 |