| NPI | 1063851004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NH 23382) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ME DO2829) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2023-01-23 |