| NPI | 1831575067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: NJ 25MB10739700) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 0000000000000000) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL OS16449) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL OS16449) | |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2025-04-24 |