| NPI | 1699099036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NY 255464) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 255464) |
| Enumeration Date | 2010-03-14 |
| Last Update Date | 2025-08-06 |