| NPI | 1831271352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: UT 3648481205) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 3648481205) |
| 208VP0000X (Licence: UT 3648481205) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2021-12-16 |