| 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 |