| NPI | 1669580171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME67865) |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain (Licence: FL ME67865) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-05-05 |