| NPI | 1902432859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: CA A181982) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A181982) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A181982) | |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2026-07-27 |