| NPI | 1043524119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME119631) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME119631) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME119631) | |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2023-09-11 |