| NPI | 1184771891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 774) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS9634) |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: FL OS9634) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-10-25 |