NPI | 1043772577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 331197) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 331197) |
Enumeration Date | 2019-04-03 |
Last Update Date | 2024-09-04 |