NPI | 1275551517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NJ 25MA09471600) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA09471600) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2021-06-18 |