| NPI | 1235112483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A61021) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A61021) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A61021) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-07-17 |