| NPI | 1134155906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 172644) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 172644-1) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2015-11-12 |