| NPI | 1013107044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MD D0080727) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0080727) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MD D0080727) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2020-08-02 |