| NPI | 1033383534 |
|---|---|
| Former Name | COLLEEN PEPPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME112399) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: VA 0101252977) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: VA 0101252977) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2023-11-28 |