| NPI | 1063479020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A40295) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A40295) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A40295) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-04-11 |