| NPI | 1376821116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: IA MD-43411) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IA MD43411) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA MD43411) | |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: IA MD43411) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2018-03-14 |