| NPI | 1629143979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NJ 25MA0799060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07990600) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2010-09-28 |