| NPI | 1861614331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 2010-00247) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2010-00247) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2010-00247) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2021-12-07 |