| NPI | 1881763951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ MB05034100) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: NJ MB05034100) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NJ MB05034100) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: NJ MB05034100) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2013-01-15 |