| NPI | 1255089058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA PSY33210) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 33210) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2024-04-11 |