| NPI | 1124165402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CO DR.0047116) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 47116) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-04-16 |