| NPI | 1881910511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 128513) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA 128513) |
| 207L00000X Anesthesiology (Licence: CA 128513) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 128513) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2021-06-16 |