NPI | 1306033410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 222262) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP00001596) |
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: WA OP00001596) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: WA OP00001596) | |
Enumeration Date | 2007-10-02 |
Last Update Date | 2024-09-19 |