| NPI | 1285960013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine (Licence: MN 52413) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NJ 25MB08649200) |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: MN 52413) | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: NJ 25MB08649200) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: MN 52413) | |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2021-09-16 |