| NPI | 1073516332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 218436) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 218436) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2018-08-30 |