| NPI | 1912145533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA G56475) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA G58475) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2020-06-02 |