| NPI | 1619125150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: NJ 25MA08493700) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: NJ 25MA08493700) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NJ 25MA08493700) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2021-04-08 |