| NPI | 1972334761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL PA9120159) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL PA9120159) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2025-08-28 |