| NPI | 1366468274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 2038671) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 2038671) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 2038671) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2013-10-30 |