NPI | 1164445938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 265078) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA092495000) |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A78847) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2025-03-24 |