| NPI | 1306082045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MB09000000) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MB09000000) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 262711) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 262711) | |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2019-05-15 |