| NPI | 1659411379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: OR MD27842) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: HI 12142) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: OR 27824) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: OR 27824) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2024-10-08 |