| NPI | 1093940546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA OS017241) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OT013735) |
| 208100000X Physical Medicine & Rehabilitation (Licence: PA OS017241) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2022-06-07 |