| 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 |