| NPI | 1972846129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 291878) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NJ 25MA10685900) |
| 207L00000X Anesthesiology (Licence: NJ TBD post-graduation) | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2024-04-10 |