| NPI | 1902095037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME105149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 105149) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: FL ME 105149) | |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2015-03-17 |