| NPI | 1811967011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NC 34107) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 34107) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 34107) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-08-30 |