| NPI | 1821193491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: WI 38279) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 38279) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WI 38279) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2017-02-23 |