| NPI | 1699964122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A102000) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A102000) |
| 207L00000X Anesthesiology (Licence: CA A102000) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2016-12-01 |