| NPI | 1770584252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA ME87957) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 75361) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: MA ME87957) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2021-02-05 |