| NPI | 1659717965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A153978) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A153978) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2021-02-26 |