| NPI | 1275978017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: VA 0101263940) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: VA 00116028976) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2021-04-15 |