| NPI | 1902434830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01091149A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 12160) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01091149A) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 58408) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-11-27 |