| 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 |