| NPI | 1164610713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A 9893) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 20A 9893) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2015-01-05 |