NPI | 1669673323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA C55023) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME95783) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2016-01-20 |