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 |