| NPI | 1093921660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: WA MD60010345) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OR MD26258) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WA MD60010345) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-11-13 |