| NPI | 1649728569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA PSY29571) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 2012728) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2018-11-21 |