NPI | 1992156368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 311529-01) |
Additional Taxonomies | 208VP0000X (Licence: OK 38074) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2025-05-15 |