| NPI | 1407836323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A98681) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A98681) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A98681) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2008-01-18 |