NPI | 1922047380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: SC MD34272) |
Additional Taxonomies | 251E00000X Home Health |
251F00000X Home Infusion | |
Enumeration Date | 2006-06-04 |
Last Update Date | 2019-12-18 |