| NPI | 1033372941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME 110501) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 268811-1) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME110501) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2016-09-21 |