| NPI | 1649807082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: ME DO3903) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 20A22843) |
| 208VP0000X (Licence: ME DO3903) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-03-13 |