| NPI | 1679799209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: SC 22597) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: GA 034624) |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: WI 69003) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: WI 69003) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-11-16 |