| NPI | 1912196114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 097087) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.097087) |
| 207Q00000X Family Medicine (Licence: GA 060088) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2024-03-08 |