| NPI | 1104082171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MN 52245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 52245) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2015-12-02 |