| NPI | 1184850505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MD H0077516) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DC DO034629) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 252614-1) | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2023-03-02 |