| NPI | 1437374030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301060261) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: MI 4301060261) |
| 208VP0000X Pain Medicine Pain Medicine (Licence: MI 4301060261) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-01-31 |