| NPI | 1912166786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: WA MD60960761) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101252058) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: VA 0101252058) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA MD60960761) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2024-10-09 |