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 |