| NPI | 1073868899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 265871) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 265871) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MD D87164) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2023-02-27 |