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 |