| NPI | 1386651537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME94260) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL ME94260) |
| 207L00000X Anesthesiology (Licence: FL ME94260) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2010-11-24 |