| NPI | 1992790364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA07377400) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA07377400) |
| 208VP0000X Pain Medicine Pain Medicine (Licence: NJ 25MA07377400) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2015-06-16 |