| NPI | 1144702887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA 55885) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 55885) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2023-05-16 |