| NPI | 1942402599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA08607600) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 242728) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2017-11-08 |