| NPI | 1285615633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology Addiction Medicine (Licence: FL ME154333) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: OH 35048352) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2023-06-23 |