| NPI | 1164639399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CT 025982) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 5086) |
| 122300000X Dentist (Licence: NY 331901) | |
| 122300000X Dentist (Licence: PA DS020377L) | |
| 207R00000X Internal Medicine (Licence: CT 025982) | |
| 207R00000X Internal Medicine (Licence: NY 1469761) | |
| 207R00000X Internal Medicine (Licence: PA MD028442E) | |
| 207R00000X Internal Medicine (Licence: FL ME45906) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 1469761) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD028442E) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME45906) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-12 |