| NPI | 1689746943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL FL ME84349) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL FL ME84349) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: FL FL ME84349) | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: FL FL ME84349) | |
| 208000000X Pediatrics (Licence: FL FL ME84349) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |