| NPI | 1194846394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: FL OS10654) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS10654) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-10-06 |