| NPI | 1629202981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 249162) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 249162) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 249162) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2023-05-11 |