| NPI | 1356419980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX P3289) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA08177100) |
| 204R00000X Electrodiagnostic Medicine (Licence: TX P3289) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2026-07-19 |