| NPI | 1225329402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 285793) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 285793) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2022-07-11 |