| NPI | 1053710285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NC 2014-01232) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2014-01232) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 2014-01232) | |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2016-05-23 |