| NPI | 1164445938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 265078) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA A78847) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA A78847) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-05-10 |