| NPI | 1609075316 |
|---|---|
| Former Name | SUE J SHIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME116914) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME116914) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2018-03-17 |