| NPI | 1548722168 |
|---|---|
| Former Name | FAYE MARIE TATA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 5846) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TN 5846) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TN 5846) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2024-08-14 |