| NPI | 1871884072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: NY 274082) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 274082) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA A141958) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 274082) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A141958) | |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2019-10-11 |