| NPI | 1073503595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: KY 34056) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY 34056) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 34056) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2019-01-07 |