| NPI | 1861823940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA A157235) |
| Additional Taxonomies | 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: CA A157235) |
| 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine (Licence: NY 279057) | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2020-11-16 |