| NPI | 1851826309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NC 2021-01458) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2021-01458) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: TX U9258) | |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-04-05 |