| NPI | 1265587869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: AR E-8983) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 39020000X) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-01-04 |