| NPI | 1821076258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G52019) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA G52019) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2012-02-01 |