NPI | 1154436590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TN 42636) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A97159) |
207LP2900X Anesthesiology, Pain Medicine (Licence: NC 200300358) | |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: TN 42636) | |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A97159) | |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: NC 200300358) | |
Enumeration Date | 2006-08-19 |
Last Update Date | 2022-10-10 |