NPI | 1205982501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 249553) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 249553) |
208100000X Physical Medicine & Rehabilitation (Licence: NY 249553) | |
2081H0002X (Licence: NY 249553) | |
Enumeration Date | 2007-01-27 |
Last Update Date | 2016-09-14 |