| NPI | 1619289303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 264785) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 264785) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 264785) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 264785) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 264785) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2020-08-04 |