| NPI | 1346776309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA11708500) |
| Additional Taxonomies | 208VP0000X (Licence: TX T6853) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX T6853) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-04-21 |