| NPI | 1124110309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA G85784) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G85784) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-04-02 |