| NPI | 1760467260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: CA G14909) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G14909) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2013-08-24 |