| NPI | 1396855326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: MO 200106352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2001016352) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MO 200106352) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-06-28 |