| NPI | 1417968348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: MA 75120) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: MA 75120) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: MA 75120) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-09-21 |