| NPI | 1114158755 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA08317800) | 
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA08317800) | 
| 207L00000X Anesthesiology (Licence: NJ 25MA08317800) | |
| Enumeration Date | 2009-07-30 | 
| Last Update Date | 2025-10-14 |