| NPI | 1053645887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA 20A14194) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA 20A14194) |
| Enumeration Date | 2009-09-26 |
| Last Update Date | 2018-03-17 |