| NPI | 1821107384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME80980) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME80980) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-02-19 |