| NPI | 1295872216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: TN 48072) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD P20277) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-01-10 |