| NPI | 1063551661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q0820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245853-1) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX Q0820) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 245853-1) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2017-10-11 |