| NPI | 1720387186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: CA A121979) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A121979) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2023-11-10 |