| NPI | 1891144580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A161559) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT211248) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2021-12-03 |