| NPI | 1861451130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: NY 251933) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 251933) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2024-04-17 |