| NPI | 1003076928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: PA MD472638) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NY 259765) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2021-03-22 |