| 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 Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: NY 249553) | |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2016-09-14 |