| 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 |