| NPI | 1689826752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A106046) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A106046) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2016-11-01 |