| NPI | 1073538484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: TX M0526) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: GA 052805) |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: WI 43164-021) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |