| NPI | 1295830958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 20A8819) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 20A8819) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA 20A8819) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-04-29 |