| NPI | 1538508841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA A168780) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: WA MD60866576) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2020-10-05 |