| NPI | 1528592458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB11952600) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 315376) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MB11952600) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI 5101026077) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MI AU7007467-024985) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-10-27 |