| NPI | 1285627869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: AK 5168) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: AK 5168) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2021-07-26 |