| NPI | 1730192758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME66615) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: FL me66615) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2022-04-28 |