| NPI | 1609807528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 80865) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: MA 80865) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |