| NPI | 1134187859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: KY 38138) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY 38138) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2025-04-09 |