| NPI | 1821618141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 60011312) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 60011312) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2025-11-01 |