| NPI | 1619003092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME161867) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME161867) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 241972) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MA 241972) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-07-30 |