| NPI | 1083032064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME136753) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME136753) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME1376753) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2021-01-19 |