| NPI | 1710960372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 2043001) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ MA76980) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NJ 25MA07698000) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 2043001) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2018-02-12 |