| NPI | 1972828234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 258813) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: HI MD18374) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MA 258813) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2016-04-14 |