| NPI | 1801056551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 248479) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 248479) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2020-11-17 |