NPI | 1285934455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA PSY34162) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY34162) |
Enumeration Date | 2010-10-22 |
Last Update Date | 2024-04-11 |