| NPI | 1619337532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME124762) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: FL ME124762) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2024-07-12 |