| NPI | 1891818530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MB08416900) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OT010795) |
| 207L00000X Anesthesiology (Licence: NJ 25MB08416900) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-06-01 |