| NPI | 1316177223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL 124131) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 124131) |
| 208600000X Surgery (Licence: MA 241768) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2022-04-04 |