| NPI | 1871768929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NJ 25MA09630600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD446035) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2019-02-13 |