| NPI | 1700371937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 341538) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 341538) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: SC 90079) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2026-02-10 |