| NPI | 1912084492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 209800000X Legal Medicine (Licence: CA G58510) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CA G58510) |
| 208VP0000X Pain Medicine Pain Medicine (Licence: CA G58510) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-03-07 |