| 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 |