| NPI | 1538146774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WA 00012212) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: WA 00012212) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-07-08 |