| NPI | 1861468134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA G85360) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: CA G85360) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-01-09 |