| NPI | 1285731588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NV 17455) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301085174) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MI 4301085174) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-12-04 |