| NPI | 1770524605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G58680) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA G58680) |
| 208VP0000X (Licence: CA G58680) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2015-06-02 |