| NPI | 1053405670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA 20a8858) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A8858) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-01-25 |