| NPI | 1417123522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME79373) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL 79373) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |