| NPI | 1164494316 |
|---|---|
| Former Name | ALICE PATRICE TALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME47516) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME47516) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-10-11 |