| NPI | 1265999759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NJ 26NJ00888400) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NJ 26NJ00888400) |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2021-12-22 |