| NPI | 1124431143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A154173) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A154173) |
| 208000000X Pediatrics (Licence: PA MT206697) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2022-08-09 |