| NPI | 1295246510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NJ 18kt00649900) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NJ 18kt00649900) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NJ 18kt00649900) | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: NJ 18kt00649900) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 18kt00649900) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NJ 18kt00649900) | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |