NPI | 1063493617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX M1395) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX M1395) |
225400000X Rehabilitation Practitioner (Licence: TX M1395) | |
Enumeration Date | 2005-11-10 |
Last Update Date | 2024-02-28 |