NPI | 1629538418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX V4672) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A184777) |
Enumeration Date | 2019-03-20 |
Last Update Date | 2024-11-14 |